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酸和碱对伤口形态学及生化反应发展的影响(作者译)

[The influence of acids and bases on the development of morphological and biochemical wound reactions (author's transl)].

作者信息

Kampmann H, Garbe G, von der Ropp D, Berg S, Bode G

出版信息

Z Rechtsmed. 1978 Sep 28;82(1):71-88. doi: 10.1007/BF02114502.

Abstract
  1. The influence of acids and bases on the development of the early wound reactions in the intact and the mechanically injured skin of guinea pigs was investigated. The cellular and the enzymohistochemical reactions showed to be different: the tissue leucocytosis after mechanical trauma is less restrained by chemical effects than the reactive increase of enzymic activity in the border of wounds, which proved to be affected by acids more than by bases. Changes in activity of structure bound enzymes could not be demonstrated in the skin after mere action of acids and bases, but only after mechanical trauma. The cellular reaction is in the border of the base necrosis more compact, in case of the acid necrosis broader and more diffuse. Characteristic changes in the nucleus were preferentially found after basic reaction. 2) In the mechanically unhurt skin a significant excess of histamine was found after the action of acids, while the liberation of serotonin was distinctly decreased. After incision and addition of acid the histamine level was decreased and the serotonin concentration significantly increased. After exposition of guinea pig skin to chemicals, the concentrations of the so-called tissue hormones showed a contrary course. 3) After postmortal incision and following cauterization a distinct increase of histamine was found in the wound area. Generally the excess of free histamine in comparison to the unhurt skin is considered to be a vital reaction. But because degranulation of mast cells and liberation of histamine can also be caused by chemical influence in the postmortal period, a critical interpretation in cases of skin exposition to acids or bases is necessary.
摘要
  1. 研究了酸和碱对豚鼠完整皮肤及机械损伤皮肤早期伤口反应发展的影响。细胞反应和酶组织化学反应显示出不同:机械创伤后的组织白细胞增多受化学作用的抑制比伤口边缘酶活性的反应性增加要小,事实证明伤口边缘酶活性受酸的影响比受碱的影响更大。仅在酸和碱作用后,未在皮肤中证明结构结合酶活性有变化,但在机械创伤后有变化。细胞反应在碱性坏死边缘更紧密,在酸性坏死时更广泛、更弥散。在碱性反应后优先发现细胞核的特征性变化。2) 在机械未损伤的皮肤中,酸作用后发现组胺显著过量,而血清素的释放明显减少。切开并添加酸后,组胺水平降低,血清素浓度显著增加。豚鼠皮肤暴露于化学物质后,所谓的组织激素浓度呈现相反的变化过程。3) 死后切开并烧灼后,在伤口区域发现组胺明显增加。一般来说,与未损伤皮肤相比,游离组胺的过量被认为是一种生命反应。但由于肥大细胞脱颗粒和组胺释放也可在死后阶段由化学影响引起,因此在皮肤暴露于酸或碱的情况下进行批判性解释是必要的。

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